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低抗凝牛肝素的药代动力学、止血和抗癌特性

Pharmacokinetic, Hemostatic, and Anticancer Properties of a Low-Anticoagulant Bovine Heparin.

作者信息

Santos Roberto P, Tovar Ana M F, Oliveira Marcos R, Piquet Adriana A, Capillé Nina V, Oliveira Stephan N M C G, Correia Ana H, Farias José N, Vilanova Eduardo, Mourão Paulo A S

机构信息

Hospital Universitário Clementino Fraga Filho and Instituto de Bioquímica Médica Leopoldo de Meis, Laboratório de Tecido Conjuntivo, Hospital Universitário Clementino Fraga Filho and Instituto de Bioquímica Médica Leopoldo de Meis, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.

Hospital Universitário Clementino Fraga Filho, Serviço de Anatomia Patológica, Hospital Universitário Clementino Fraga Filho, Rio de Janeiro, Brazil.

出版信息

TH Open. 2022 May 26;6(2):e114-e123. doi: 10.1055/s-0042-1745743. eCollection 2022 Apr.

Abstract

Heparin is a centennial anticoagulant drug broadly employed for treatment and prophylaxis of thromboembolic conditions. Although unfractionated heparin (UFH) has already been shown to have remarkable pharmacological potential for treating a variety of diseases unrelated with thromboembolism, including cancer, atherosclerosis, inflammation, and virus infections, its high anticoagulant potency makes the doses necessary to exert non-hemostatic effects unsafe due to an elevated bleeding risk. Our group recently developed a new low-anticoagulant bovine heparin (LABH) bearing the same disaccharide building blocks of the UFH gold standard sourced from porcine mucosa (HPI) but with anticoagulant potency approximately 85% lower (approximately 25 and 180 Heparin International Units [IU]/mg). In the present work, we investigated the pharmacokinetics profile, bleeding potential, and anticancer properties of LABH administered subcutaneous into mice. LABH showed pharmacokinetics profile similar to HPI but different from the low-molecular weight heparin (LMWH) enoxaparin and diminished bleeding potential, even at high doses. Subcutaneous treatment with LABH delays the early progression of Lewis lung carcinoma, improves survival, and brings beneficial health outcomes to the mice, without the advent of adverse effects (hemorrhage/mortality) seen in the animals treated with HPI. These results demonstrate that LABH is a promising candidate for prospecting new therapeutic uses for UFH.

摘要

肝素是一种百年抗凝药物,广泛用于血栓栓塞性疾病的治疗和预防。尽管普通肝素(UFH)已被证明在治疗多种与血栓栓塞无关的疾病(包括癌症、动脉粥样硬化、炎症和病毒感染)方面具有显著的药理潜力,但其高抗凝效力使得发挥非止血作用所需的剂量因出血风险升高而不安全。我们的团队最近开发了一种新型低抗凝牛肝素(LABH),它具有与源自猪黏膜的UFH金标准品(HPI)相同的二糖结构单元,但抗凝效力约低85%(约为25和180肝素国际单位[IU]/mg)。在本研究中,我们研究了皮下注射给小鼠的LABH的药代动力学特征、出血潜力和抗癌特性。LABH显示出与HPI相似但与低分子量肝素(LMWH)依诺肝素不同的药代动力学特征,并且即使在高剂量下出血潜力也降低。LABH皮下治疗可延迟Lewis肺癌的早期进展,提高生存率,并给小鼠带来有益的健康结果,而不会出现用HPI治疗的动物中所见的不良反应(出血/死亡)。这些结果表明,LABH是探索UFH新治疗用途的有希望的候选药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d63b/9135479/e13a4302a1c7/10-1055-a-1750-1300-i210072-1.jpg

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